Medicare Knowledge Can Help You Reap Full NPP Benefits
Published on Wed Feb 10, 2010
Plan of care is a must for incident-to- billing. Gastroenterology practices that don't take full advantage of coding opportunities when their nonphysician practitioners (NPP) provide E/M services to Medicare patients are losing out on a valuable revenue stream --NPPs help lighten your physician's workload, and proper coding can also add weight to the bottom line. In a nutshell: NPPs can provide some E/M services to Medicare patients that allow you to bill under the gastroenterologist's National Provider Identifier (NPI), garnering your office 15 percent more than the same service billed under the NPP's NPI. Check out this quick guide on incident-to and shared visit billing, and max out your NPPs' services. Physician Must Meet Supervision Definitions The physician's incident-to role is supervisory,confirms Lynn Anderanin, CPC, CPC-I, COSC, senior coding consultant for Health Info Services in Park Ridge, Ill. The NPP must be working under "direct supervision" of the physician in [...]